institution
Jodi Mollica Lcsw Llc
Clinic/Center in Royal Oak, Michigan
NPI 1114561941

Jodi Mollica Lcsw Llc is a Clinic/Center based in Royal Oak, MI. Jodi Mollica Lcsw Llc practices in Royal Oak, MI. The NPI Number for Jodi Mollica Lcsw Llc is 1114561941 and holds a License No. (Michigan).

The current practice location address for Jodi Mollica Lcsw Llc is 628 E Parent Ave Ste 506, Royal Oak, MI and can be reached out via phone at 248-321-8684.

Location: 628 E Parent Ave Ste 506, Royal Oak, MI, 48067-3330
institution
Provider Profile Details
NPI Number
1114561941
Provider Name
Jodi Mollica Lcsw Llc
Credential
Provider Entity Type
Organization
Address
628 E Parent Ave Ste 506, Royal Oak, MI, 48067-3330
Phone Number
248-321-8684
Fax Number
Provider Enumeration Date
11/05/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6801091687 01 MI LICENSE
institution
Provider Business Practice Location Address Details
Address
628 E Parent Ave Ste 506
City
State
Zip
48067-3768
Phone Number
248-321-8684
Fax Number
person
Provider Business Mailing Address Details
Address
628 E Parent Ave Ste 506
City
State
Zip
48067-3768
Phone Number
248-321-8684
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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